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CAD/CAM international C.E. magazine of digital dentistry North America Edition, No. 3, 2016

I 23 CAD/CAM 3_2016 clinical_ simplifying dentistry I minimal bleeding and no need for sutures (Fig. 10). A transmucosal healing abutment was used, and the patient was temporized with a composite provisional bonded to the adjacent teeth. After four months, the patient returned for a digital impres- sion. The provisional was removed, and removal of the transmucosal abutment showed excellent tissue healing and contour (Fig. 11). A stock implant abutment was prepared ex- traorally and seated to 20 ncm torque. Teflon tape and Firmit™ were used and cured to seal the screw access of the abutment (Fig. 12). The abutment was then scanned intramurally with the Planmeca Fit™ Scanner to obtain a digital impression of the abutment, the opposing arch and the occlusion. From these scans, an IPS e.max crown was milled in the PlanMill 40, shade A1. Within 12 minutes time, the mill was completed. The IPS e.max restoration was tried in the mouth on theabutment,contactsandocclusionwereadjusted, stain and glaze were nuccapplied, and the restora- tion was placed in the Ivoclar Programat™ oven for crystallizationandglazing.Theentirerestorativevisit was less than 1.5 hours. Digital workflow in implant dentistry facilitates carebyallowingforaconciseandaccuratediagnosis in a simple manner. Planmeca Romexis® software allows for implant planning, fully taking into ac- count anatomical constraints and considerations while also allowing for prosthetic planning. The im- ages are easily transmitted to a laboratory for guide fabrication. With this workflow, patient acceptance is in- creased. The patient is fully involved in the planning processwhilewatchingtheinitialplanandcanmore easily understand the three-dimensional images presented to them. Patients also appreciate being able to see a virtual representation of the final res- toration, which is the reason for an implant in the first place. The visit following surgery is the final one — with digitalscanningandrestorativefabricationusingthe Planmeca Fit CAD/CAM system. The entire process is streamlined and implied using a digital workflow._ Dr. Eugene Antenucci’s expertise in the clinical integration and utilization of advanced dental tech- nologies will directly help you make sound decisions in working with and profiting from technology in practice. As an international lecturer, his programs have provided hundreds of attendees with concrete and usable informa- tion on the practical applications of technologies such as digitalimpressioningandPlanScanChairsideCAD/CAMby E4D,intra-andextraoralimaging,digitalradiography,den- tallasers,cone-beamCBCTimaging,officeautomation,as well as the incorporation of social media and the internet in dental marketing in order to increase your practice’s vis- ibility and flow of new patients Antenucci maintains a full-time restorative, implant and cosmetic private practice in Huntington N.Y. His state-of- the-art facility and practice was distinguished as “Dental PracticeoftheMonth”byDentalEconomics,and“Business of the Year” by the Huntington Chamber of Commerce. Antenucci serves as a clinical assistant professor at NYU College of Dentistry teaching implant surgical and pros- thetic dentistry. He is a diplomate of the International Con- gress of Oral Implantologists and a fellow of the Academy ofGeneralDentistry.Hehasservedinnumerousleadership roles with the Academy of General Dentistry at both the state and national levels. His many years of experience with chairside CAD/CAM and cone-beam imaging, along with his implant teaching experience and years of training dentists in seminars and workshops, will assure that each attendee achieves the highest levels of practical learning from his programs. _about the author CAD/CAM Fig. 11 Fig. 12

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